Some approaches to the analysis of recurrent event data.

Methodological research in biostatistics has been dominated over the last twenty years by further development of Cox's regression model for life tables and of Nelder and Wedderburn's formulation of generalized linear models. In both of these areas the need to address the problems introduced by subject level heterogeneity has provided a major motivation, and the analysis of data concerning recurrent events has been widely discussed within both frameworks. This paper reviews this work, drawing together the parallel development of 'marginal' and 'conditional' approaches in survival analysis and in generalized linear models. Frailty models are shown to be a special case of a random effects generalization of generalized linear models, whereas marginal models for multivariate failure time data are more closely related to the generalized estimating equation approach to longitudinal generalized linear models. Computational methods for inference are discussed, including the Bayesian Markov chain Monte Carlo approach.